Abstract Aims: To identify crucial programme characteristics and group mechanisms of, and lessons learned from hindrances in an empowerment programme for certified nursing assistants and contribute to the development of similar programmes in other care settings. Design: Exploratory qualitative study. Methods: Between May 2017 and September 2020, we used in-depth interviews and participant observations to study four groups participating in an empowerment programme for certified nursing assistants (N = 44). Results: We identified three crucial empowerment-enhancing programme characteristics: (1) inviting participants to move outside their comfort zone of caregiving; (2) stimulating the use of untapped talents, competencies and interests; (3) supporting the rediscovery of participants' occupational role and worth. Crucial group mechanisms encompassed learning from and with each other, as well as mechanisms of self-correction and self-motivation. Hindrances included a perceived lack of direction, and a lack of organizational support and facilitation. Conclusion: We showed the significance of creating an inviting and stimulating environment in which participants can explore and function in ways they otherwise would not. Likewise, we identified how this can help participants learn from, critically correct and motivate one another. Impact: The programme under study was uniquely aimed to empower certified nursing assistants. Our insights on crucial programme characteristics and group mechanisms may benefit those who develop empowerment programmes, but also policymakers and managers in supporting certified nursing assistants and other nursing professions in empowerment endeavours. Such empowerment may enhance employee retention and make occupational members more likely to address challenges affecting their occupational group and the long-term care sector.
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Abstract Aims: To identify crucial programme characteristics and group mechanisms of, and lessons learned from hindrances in an empowerment programme for certified nursing assistants and contribute to the development of similar programmes in other care settings. Design: Exploratory qualitative study. Methods: Between May 2017 and September 2020, we used in-depth interviews and participant observations to study four groups participating in an empowerment programme for certified nursing assistants (N = 44). Results: We identified three crucial empowerment-enhancing programme characteristics: (1) inviting participants to move outside their comfort zone of caregiving; (2) stimulating the use of untapped talents, competencies and interests; (3) supporting the rediscovery of participants' occupational role and worth. Crucial group mechanisms encompassed learning from and with each other, as well as mechanisms of selfcorrection and self-motivation. Hindrances included a perceived lack of direction, and a lack of organizational support and facilitation. Conclusion: We showed the significance of creating an inviting and stimulating environment in which participants can explore and function in ways they otherwise would not. Likewise, we identified how this can help participants learn from, critically correct and motivate one another. Impact: The programme under study was uniquely aimed to empower certified nursing assistants. Our insights on crucial programme characteristics and group mechanisms may benefit those who develop empowerment programmes, but also policymakers and managers in supporting certified nursing assistants and other nursing professions in empowerment endeavours. Such empowerment may enhance employee retention and make occupational members more likely to address challenges affecting their occupational group and the long-term care sector
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Over the last few decades health promotion has increasingly focused on the empowerment of deprived communities and is shifting from a 'top-down' approach to a participatory practice, aimed at helping people to gain control over their lives and health. Previous research shows that this shift is not without problems. In The Netherlands, an Action Learning Programme on Empowerment was developed to help health promotion practitioners in this transition. 24 Practitioners from different fields of health promotion took part in a six-month programme. Qualitative data were collected from different sources and methods and were analysed using a thematic analysis. The findings threw light on a core dilemma in health promotion practice and several barriers to bringing empowerment into practice, both on a personal level, and in relationship to the community and wider institutional context. The implications of this study for the empowerment ethos of health promotion and its feasibility within the current West-European policy context are discussed.
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De overheid trekt zich terug en legt steeds meer verantwoordelijkheid bij de burger. Dat is reden tot zorg, want door bezuinigingen op bijvoorbeeld de rechtsbijstand kan de toegankelijkheid van het recht in het gedrang komen. Maar er zijn ook kansen. Voortschrijdende digitalisering stelt mensen in staat zelf oplossingen te zoeken bij juridische problemen. Dit kan meer keuzevrijheid en meer zelfstandigheid betekenen, hoewel onzekerheid over dit palet aan mogelijkheden evenzeer op de loer ligt. Een mogelijk bijeffect is dat er nog meer juridische problemen ontstaan, omdat door onzekerheid of onwetendheid kan worden besloten geen rechtszaak te starten, geen aanvraag in te dienen of niet tot actie over te gaan wanneer rechten worden geschonden. Een ding staat vast: het beroep op de eigen kracht van de burger neemt toe. Maar in hoeverre zijn burgers zelfstandig in staat gebruik te maken van het recht en hun rechtspositie te beschermen? De vraag is niet nieuw. Sinds het einde van de negentiende eeuw is hier aandacht voor. Deze aandacht verloopt in golfbewegingen en verandert in de loop der tijd van accent en betekenis. In het huidige tijdsbestek, waarin een transitie gaande is van verzorgingsstaat naar participatiesamenleving is de vraag opnieuw actueel. Als mensen meer op zichzelf zijn aangewezen en zelf oplossingen moeten zoeken voor hun juridische problemen, hoe zet je hen dan in hun kracht? De vraag wat legal empowerment kan betekenen voor de toegankelijkheid van het recht in de Nederlandse participatiesamenleving staat hier centraal. In het eerste hoofdstuk worden de belangrijkste ontwikkelingen in de literatuur over de toegankelijkheid van het recht beschreven. De nadruk ligt hierbij op gebruikers van het recht en het daadwerkelijk kunnen gebruiken van het recht. Dit kader helpt om het concept legal empowerment te kunnen plaatsen. Vervolgens wordt in het tweede hoofdstuk een analyse gemaakt van de achtergrond, de kenmerken en de toepassing van legal empowerment om het begrip beter te kunnen duiden. De lessen die we hieruit kunnen trekken, worden in het laatste hoofdstuk toegepast op de situatie in Nederland, met name op thema’s als de terugtredende overheid, decentralisatie, digitalisering en juridische dienstverlening.
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Posterpresentatie over onderzoek naar Online Parenting Support: guiding parents towards empowerment through single session email consultation.
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Posterpresentatie over onderzoek naar Online Parenting Support: guiding parents towards empowerment through single session email consultation.
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Background: Acquiring the theoretical and practical knowhow of conducting patient and public involvement (PPI) in research is not part of the traditional curriculum of researchers. Zuyd University of Applied Sciences and Huis voor de Zorg, a regional umbrella patient organization, therefore started a 1.5-year coaching programme. Objective: To establish a community of practice by developing a PPI coaching programme for senior and junior health services researchers of Zuyd University. The context consisted of research projects conducted by the participants. Methods: A participatory action research methodology. Data were collected from reports of thematic group meetings and individual sessions with participants, field notes and regular reflection meetings with the project team. Data were analysed by reflexive deliberation. Findings: The programme comprised a kick-off meeting (52 attendees), followed by 7 group meetings with 11 junior and 9 senior researchers. The project team constructed a serious game based on the concept of the participation ladder. Questions and concerns differed for junior and senior researchers, and separate tailored meetings were organized for both groups. Between group meetings, participants received individual assignments. Group meetings were accompanied by individual coaching sessions to provide tailor-made feedback. The programme concluded with a combined meeting with all stakeholders. Conclusion: Building a community of PPI practice through action research facilitates the development of a coaching programme that fosters social learning, empowerment and the development of a shared identity concerning PPI. The role and responsibilities of senior researchers should be distinguished from those of junior researchers.
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Een actieonderzoek naar de ontwikkeling van een leerlingversterkend onderwijsprogramma met het doel leerlingen met een visuele beperking beter voor te bereiden op hun transitie naar volwassenheid en waar mogelijk een betaalde baan. Belangrijke thema's: inclusie en exclusie, empowerment, stem van de leerling, transitie naar volwassenheid en het burgerschapsmodel tegenover het medische model.
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Background: The Nurses in the Lead (NitL) programme consists of a systematic approach and training to 1) empower community nurses in implementing evidence, targeted at encouraging functional activities of older adults, and 2) train community nurses in enabling team members to change their practice. This article aims to describe the process evaluation of NitL. Methods: A mixed-methods formative process evaluation with a predominantly qualitative approach was conducted. Qualitative data were collected by interviews with community nurses (n = 7), focus groups with team members (n = 31), and reviewing seven implementation plans and 28 patient records. Quantitative data were collected among community nurses and team members (N = 90) using a questionnaire to assess barriers in encouraging functional activities and attendance lists. Data analysis was carried out through descriptive statistics and content analysis. Results: NitL was largely executed according to plan. Points of attention were the use and value of the background theory within the training, completion of implementation plans, and reporting in patient records by community nurses. Inhibiting factors for showing leadership and encouraging functional activities were a lack of time and a high complexity of care; facilitating factors were structure and clear communication within teams. Nurses considered the systematic approach useful and the training educational for their role. Most team members considered NitL practical and were satisfied with the coaching provided by community nurses. To optimise NitL, community nurses recommended providing the training first and extending the training. The team members recommended continuing clinical lessons, which were an implementation strategy from the community nurses. Conclusions: NitL was largely executed as planned, and appears worthy of further application in community care practice. However, adaptations are recommended to make NitL more promising in practice in empowering community nurse leadership in implementing evidence.
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De introductie van de verhuurdersheffing kan leiden tot een toename van het aantal te koop aangeboden huurwoningen door woningcorporaties. Veel corporaties bieden ook al woningen te koop aan, onder meer in zogenaamde Te Woon programma’s. Te Woon biedt de klant van de woningcorporatie naast de mogelijkheid om de woning te huren, ook de mogelijkheid deze te kopen, eventueel met korting (zie bijvoorbeeld Gruis et al., 2005; Noordenne et al. 2009).
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